How much rates vary
Facilitymedian $148 · 10th to 90th $52 to $417Professionalmedian $166 · 10th to 90th $78 to $813
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $363.08 | Facility | None | $89.13 | $123.03 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $89.13 | $104.71 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $31.62 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $204.17 | Professional | TC · Technical part | $63.10 | $70.79 | $204.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $457.09 | Facility | None | $141.25 | $338.84 | $457.09 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $112.20 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $112.20 | $346.74 | $812.83 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $104.71 Typical High $239.88 | Professional | 26 · Professional part | $39.81 | $104.71 | $239.88 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $263.03 | $575.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $457.09 | Facility | None | $229.09 | $338.84 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | None (both parts) | $104.71 | $104.71 | $107.15 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $42.66 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $331.13 Typical High $851.14 | Facility | None | $147.91 | $331.13 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $117.49 | $165.96 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $47.86 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $117.49 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $204.17 | Facility | None | $50.12 | $120.23 | $204.17 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $50.12 | $128.82 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $123.03 | $199.53 | $407.38 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $69.18 | $117.49 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $147.91 | $263.03 |
Health New England Setting Facility Modifier None Typical Low $117.49 Median $218.78 Typical High $776.25 | Facility | None | $117.49 | $218.78 | $776.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $331.13 | Professional | None (both parts) | $54.95 | $66.07 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $141.25 Median $338.84 Typical High $457.09 | Facility | None | $141.25 | $338.84 | $457.09 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $112.20 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $112.20 | $346.74 | $812.83 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $104.71 Typical High $239.88 | Professional | 26 · Professional part | $39.81 | $104.71 | $239.88 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $263.03 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $263.03 | $575.44 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $95.50 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $33.11 | $52.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $112.20 | $204.17 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $199.53 | Facility | None | $97.72 | $134.90 | $199.53 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | 26 · Professional part | $28.18 | $37.15 | $66.07 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $162.18 | Facility | TC · Technical part | $69.18 | $91.20 | $162.18 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $17.78 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | FX · Film X-ray | $70.79 | $70.79 | $95.50 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $114.82 Median $144.54 Typical High $208.93 | Facility | 52 · Reduced service | $114.82 | $144.54 | $208.93 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $47.86 | Professional | 52 · Reduced service | $20.89 | $20.89 | $47.86 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 16th of 51
$166
AK $363FL $97.72
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.